Clinical trial to evaluate if the intramuscular administration in the legs of cells derived from the fatty tissue can improve the lack of blood flow in diabetic patients that are no candidates or in which other treatments to improve blood flow have already failed.

Phase 1

• Conditions: Critical ischemia of lower limbs in diabetic patients; Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]

• Registration Number: EUCTR2018-002653-29-ES
• Lead Sponsor: FUNDACION JIMENEZ DIAZ HEALTH RESEARCH INSTITUTE

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-07-11
• Last Update Posted: 8 August 2022

Recruitment & Eligibility

• Status: Authorised-recruitment may be ongoing or finished
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

Patients of both sexes.
? Age between 40 and 90 years.
? Type 2 diabetes established with more than 1 year since diagnosis.
? Severe grade vascular arteriosclerosis (category RB 4 and 5 mono or bilateral).
? Impossibility of surgical or endovascular revascularization or failure in revascularization surgery performed, at least 30 days before inclusion in the study, defining failure as direct non-arrival of vessels to the plantar arch.
? Normal biochemical parameters defined by:
o Leukocytes> 3000 / mm3
o Neutrophils> 1500 / mm3
o Platelets> 100,000 / mm3
o AST / ALT <2.5x upper limit of normal
? In patients with an ischemic ulcer, it must be stable for at least 1 week.
? Patients under conventional medical treatment for CLI.
? Women of childbearing age must obtain a negative result in a urine pregnancy test performed at the time of inclusion in the study and commit to using an effective contraceptive method during their participation in the study.
? Patients who have not participated in any other clinical trial during the 3 months prior to the inclusion visit.
? Patients who sign the informed consent.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 90
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

?CLI with tissue loss in the target member (category 6 of RB).
? Previous major amputation in the target member.
? Uncontrolled hypertension (defined as PAS> 180 or PAD> 110 in at least 2 determinations during the selection period).
? Patients with severe heart failure or ejection fraction less than 30%.
? Patients with a previous diagnosis of ventricular arrhythmias or unstable angina.
? Patients with septicemia.
? Patients diagnosed with deep vein thrombosis in the 3 months prior to their inclusion in the study.
? Concomitant therapy that includes hyperbaric oxygen, angiogenic agents or Cox II inhibitors.
? Contraindication to RMN.
? Proliferative retinopathy without treatment.
? Diabetic nephropathy in hemodialysis.
? Patients previously treated with cell therapy, gene therapy or growth factors in the last year.
? Concomitant disease that limits life expectancy to 1 year or that does not ensure the follow-up period.
? Patients who have suffered a stroke or myocardial infarction in the 3 months prior to the inclusion visit.
? Severe anemia (hemoglobin <7.9g / dl) in the inclusion analysis.
? Patients with a previous diagnosis of chronic alcoholism.
? Any clinically significant anomaly detected in the Selection Period and which, in the opinion of the investigator, constitutes an impediment to the correct participation of the patient in the study or the fulfillment of the procedures established therein.

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified